SABC Medical Aid Scheme - Poor Service

Good day

I have been given authorisation by my dad to assist with the claims. Both our parents unexpectedly fell ill and were hospitalised in Kenya in November 2020. Mum sadly passed away on November 24th, 2020. We came together as a family to cover hospital costs, doctors' bills and funeral expenses. On our return to SA my sister logged a claim with the medical aid only to find out 4 months later that she was liaising with the wrong department. No one picked up this even though she did regular inquiries during the 4 months. I then took over the follow ups and my inquiry were intercepted by someone who was kind enough to direct me to the correct department and he also outlined the whole process. I then wrote a detailed email explaining the situation, with dates, order of events and the relevant invoices attached. A very small portion was paid out and I have been requesting for detailed information with an explanation as to why certain amount were denied, only to be giving codes that does not satisfy my inquiry. I have been calling numerous times, and every call takes about 45mins bearing in mind that my inquiry could not answered. The lady that normally assist me has been trying to get feedback from the various departments, but she does not seem to be making headway as she must rely on the relevant departments to provide the feedback. The below are a few reference numbers for my inquiry and some of the times they were offline, so they were unable to provide a reference number. This is my dads medical aid and he has been paying towards this for years. Being a pensioner, I cannot imagine what would have happened if he had to do all these inquiries. This has been rather exhausting. My experience with this Medical Aid Provider has been long and tedious and I still do not have closure on my dad’s claim. 210121QDBMH9 120421QJ8MJD 210421QJR2T4 280421QJYXX1 070521QKFV3Y 110521QKK04M 030621QLMZ9V 300621QMWWZS 260721QP02M3 280721QPSSWT 050821QPKPNN

Kind Regards Lorraine